<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2007-8447</journal-id>
<journal-title><![CDATA[Revista biomédica]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. biomédica]]></abbrev-journal-title>
<issn>2007-8447</issn>
<publisher>
<publisher-name><![CDATA[Universidad Autónoma de Yucatán, Centro de Investigaciones Regionales Dr. Hideyo Noguchi Naturaleza]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2007-84472016000200003</article-id>
<article-id pub-id-type="doi">10.32776/revbiomed.v27i2.25</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Cambio de conducta para insulinoterapia en personas que viven con diabetes tipo 2, Yucatán, México]]></article-title>
<article-title xml:lang="en"><![CDATA[Evaluation of the behavior stage and decisional balance of change of conduct for insulin therapy in diabetic patients at the health center of Ekmul, Yucatán in 2015]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Carrillo-Álvarez]]></surname>
<given-names><![CDATA[Santiago]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martínez-Díaz]]></surname>
<given-names><![CDATA[Germán Jesús]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Autónoma de Yucatán Facultad de Medicina ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>08</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2016</year>
</pub-date>
<volume>27</volume>
<numero>2</numero>
<fpage>61</fpage>
<lpage>74</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2007-84472016000200003&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2007-84472016000200003&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2007-84472016000200003&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción La Diabetes tipo 2 es la enfermedad endocrina más frecuente y una de las principales causas de morbi-mortalidad en nuestros días. Es una enfermedad compleja que requiere de un tratamiento integral, que implica cambios en el estilo de vida del paciente. Para el abordaje de este fenómeno se toma el modelo transteorético desarrollado por James O. Prochaska, el cual propone que las personas hagan cambios en etapas y que se muevan, en forma secuencial, a través de estadios mientras experimentan diferentes procesos de cambio.  Objetivo Determinar el estadio y balance decisional de cambio de conducta en personas que viven con diabetes y criterios para insulinoterapia, que acuden a control al Centro de Salud de Ekmul, Yucatán, con base en el modelo transteorético y con enfoque cualitativo.  Materiales y Métodos Se seleccionó cinco pacientes que contaban con criterios para insulinoterapia, pero renuentes. Se utilizaron como instrumentos los cuestionarios de datos generales y de etapas de cambio, un árbol de problemas y un diagrama causa-efecto.  Resultados Cinco pacientes realizaron las actividades planteadas, identificándose tres (60%) en el estadio de precontemplación y dos (40%) en contemplación. Con el gráfico causa-efecto se obtuvieron en total 16 aseveraciones con respecto al uso de la insulina, 10 (62.5%) en contra y seis (37.5%) a favor.  Conclusiones El balance decisional dentro de las etapas identificadas otorga un mayor peso a las desventajas del uso de insulina generando una oposición a un cambio conductual a corto plazo. La desinformación de la fisiología elemental de la enfermedad ocasiona que se adjudiquen falsos conceptos al uso de la insulina, lo que además es propiciado por los factores psicológicos, como el temor a lo desconocido, y sociales, como el estigma ya generado por los falsos conceptos. Esto forma un círculo vicioso que impide el inicio oportuno de la terapia con insulina.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction Type II diabetes mellitus is the most common endocrine disease and one of the leading causes of morbidity and mortality of our days. It is a complex disease which requires an integral approach.  Objective To determine the behavioral stage and the decisional balance of change of conduct in patients with type II diabetes who fulfill the insulin therapy criteria by using the transtheoretical model with a qualitative focus at Ekmul, Health Center in Yucatan  Materials and Methods Eight patients, with dual oral hypoglycemic drug therapy, at a maximum dose and with no glycemic control, were chosen with a convenience sampling. In order to obtain Personal information and to know the stages of change we used questionnaires along with a cause-effect diagram and a problem tree.  Results Five women completed the proposed activities, three (60%) of them where identified in the pre-contemplation stage and two in the contemplation stage. A total of 16 answers from the cause-effect diagram, related to insulin usage, showed that ten (62.5%) is against it and six (37.5%) in favor of it.  Conclusions The decisional balance within the identified stages gives greater weight to the disadvantages of insulin therapy which generates resistance to short-term behavioral change. The misinformation of the elemental physiology of the disease causes false concepts of the insulin usage which is reinforced by psychological factors, such as the fear of the unknown and the social stigma. These contribute to form a vicious circle that prevents the timely initiation of insulin therapy.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[diabetes tipo 2]]></kwd>
<kwd lng="es"><![CDATA[insulinoterapia]]></kwd>
<kwd lng="es"><![CDATA[teoría transteorética de cambio]]></kwd>
<kwd lng="es"><![CDATA[etapas de cambio]]></kwd>
<kwd lng="es"><![CDATA[balance decisional]]></kwd>
<kwd lng="en"><![CDATA[Type II diabetes mellitus]]></kwd>
<kwd lng="en"><![CDATA[insulin therapy]]></kwd>
<kwd lng="en"><![CDATA[trans-theoretical theory of change]]></kwd>
<kwd lng="en"><![CDATA[state of change]]></kwd>
<kwd lng="en"><![CDATA[decisional balance]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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